Youville Megamorphosis: A Mega Success!
Submitted by Jo-Ann Tait, program director, Residential Care
“I can’t believe that Mr. O. has literally come to life again.” These were the first words a residential care aide (RCA) shared with the Marguerite Place team as they reflected on the last two weeks. “This resident used to sit in his wheelchair at the table and lean forward on the table with his arms crossed and head down – all day. Now, he is eating his meals independently, he’s smiling and he has started to talk again. It amazes me that he’s been inside there all this time and was needing us to help reconnect him with the world around him.”
Megamorphosis was a high intensity two week of rapid PDSA cycling (Plan-Do-Study-Act) of concurrent testable ideas. These ideas had been unearthered through the human centered-design process in Residential Care for Me, which utilized an incredibly wide scale engagement of residents, families and staff.
“We thought we would be reasonable and start with prioritizing the top 32 testable ideas – knowing that some would be far more interesting to staff than others,” said Robena Sirett, co-lead of the Megamorphosis Residential Care for Me process. “What we did not anticipate was that staff were going to identify an additional 14 more testable ideas that brought our total up to 56 testable ideas all happening at the same time!”
Texture boards now line the hallways of Marguerite Place
Focused on the three stories of: Emotional connections matter most, Residents direct each moment and Home is a feeling - not just a place, the Megamorphosis infused high energy, high focus and everyone working just slightly beyond their limits. “I’ve been part of quality improvement initiatives and care model changes,” Heather Mak CNS reflects, “ and I have spent many, many meetings in operational and clinical leadership positions where we hoped for culture change to happen: the engagement of staff, people we serve and their families. Megamorphosis drew me in as a leader because everyone was so focused on improving the quality of life for people in a very practical and immediate way.”
One of the family members who became very involved in the daily meetings said, “You know what’s different? I feel like I can approach any person on the team – especially the care aids – and my concerns are not only validated but even addressed! This is by far the best team that I have encountered so far!”
A care aid added, “For me, a lot has changed – I have a lot less stress when serving my residents and it’s more fun when working with my co-workers. I feel more worthy as an employee when my leaders come up and spend time with us. What a big thing, this Megamorphosis – very inspiring.”
An RN commented, “Families are participating more and you can see the smile on their faces; they are more relaxed and comfortable.”
A resident tries out some ironing at Marguerite Place
The final day of Megamorphosis culminated with 30 various leaders across the 5 PHC homes coming together for their new monthly meeting (called the Residential Care for Me Working Group) to hear from Kim Smith, Site/Operations Leader; Jo-Ann Tait and Robena Sirett, co-leads of the Megamorphosis; Heather, CNS; Joseph Sun, Educator; Janet Hoffman, CNL; as well as Gemma Cruz, RCA, about the Megamorphosis pre-work and two weeks of high intensity PDSA cycles. The group could feel the excitement and passion and could sense that we had created something incredibly special.
Friday afternoon marked the end of Megamorphosis with a true Mardi Gras celebration hosted by our music therapist, Lorri Johnson, who wrote a “Megamorphosis” song along with her PhD student, Jennifer, and played it for all the residents, family and staff gathered. Participants engaged in a formal evaluation using the iClicker technology and the results displayed (compared to 6 weeks prior) were absolutely blown out of the water.
So, now that Megamorphosis has come to an end, Jo-Ann Tait, Program Director and co-lead of Megamorphosis smiles, amused, and says, “Oh, this is far from the end, my friend. This has launched our new beginning in residential care at PHC.”
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